<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html>
	<head>
		<title>ABC-PIZZA / Gegevens invoeren</title>
		<link rel="stylesheet" type="text/css" href="screen.css" />
		<link rel="stylesheet" type="text/css" href="name.css" />
	</head>
	<body>
		<div id="content">
			<h1>ABC-PIZZA / Gegevens invoeren</h1>
			<p style="color: #ff0000;">${requestScope.nb.error}</p>
			<form method="post" action="name">
				<div class="fieldContainer">
					<div class="fieldLabel">Naam</div>
					<div class="formField">
						<input type="text" name="name" class="field" value="${requestScope.nb.name}" />
					</div>
				</div>
				<div class="fieldContainer">
					<div class="fieldLabel">Adres</div>
					<div class="formField">
						<input type="text" name="address" class="field" value="${requestScope.nb.address}" />
					</div>
				</div>
	
				<div class="fieldContainer">
					<div class="fieldLabel">Plaats</div>
					<div class="formField">
						<input type="text" name="city" class="field" value="${requestScope.nb.city}" />
					</div>
				</div>
	
				<div class="fieldContainer">
					<div class="fieldLabel">Telefoonnummer</div>
					<div class="formField">
						<input type="text" name="phoneNumber" class="field" value="${requestScope.nb.phoneNumber}" />
					</div>
				</div>
	
				<div class="submitButton">
					<input type="submit" name="submitNameForm" value="Volgende" />
				</div>
			</form>
		</div>
	</body>
</html>
